NIRALI SHAH DO
NPI 1083235816
Hospitalist in Arlington Heights, IL

Active since May 04, 2020PECOS EnrolledAccepts Medicare Assignment
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005(877) 635-9229(847) 618-3259 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 13, 2026, Jul 13, 2023, May 4, 2020 (3 updates tracked since 2020).

About Nirali Shah Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIRALI SHAH DO (NPI 1083235816) is an individual hospitalist provider in Arlington Heights, Illinois, licensed in Illinois (036164886) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083235816
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameNIRALI SHAHCredential: DO
Location Address800 W CENTRAL RDArlington Heights, IL 60005-2349
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 982-6715
Fax(847) 618-3259
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2020
Enumeration DateMay 4, 2020
Last NPPES UpdateApril 13, 20263 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1083235816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036164886
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036164886 (IL)
800 W CENTRAL RD, Arlington Heights, IL 60005

Secondary Practice Locations 2

Location 1Osf St Francis Medical Center 530 NE Glen Oak AvePeoria, IL 61637-0001 · Phone (309) 624-9351
Location 2500 W Romeo B Garrett AvePeoria, IL 61605-2301 · Phone (309) 624-8818 · Fax (309) 624-8820

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nirali Shah Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769802891
PECOS Enrollment IDI20230726003333
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
403 services151 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
108 services107 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
90 services87 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Hospitalist
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Internal Medicine (Critical Care Medicine)
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Pathology (Anatomic Pathology & Clinical Pathology)
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Anesthesiology
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Physical Therapist
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Radiology (Radiation Oncology)
800 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Emergency Medicine
800 W CENTRAL RD, NORTHWEST COMMUNITY HOSPITAL
ARLINGTON HEIGHTS, IL 60005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nirali Shah's NPI number?

The NPI number for Nirali Shah is 1083235816. It was assigned to this individual provider in the NPPES registry on May 4, 2020.

Where is Nirali Shah located?

Nirali Shah practices at 800 W Central Rd, Arlington Heights, IL 60005. The listed phone number is (877) 635-9229.

What is Nirali Shah's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nirali Shah enrolled in Medicare?

Yes. Nirali Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nirali Shah affiliated with any hospitals?

According to CMS data, Nirali Shah is affiliated with St Mary Medical Center, Saint Francis Medical Center and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Nirali Shah was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.